Health Care Program Coordinator

Clark Resources • Harrisburg, PA

5d

About The Position

The Health Care Program Coordinator will coordinate and manage health care programs in the Harrisburg, Pennsylvania area. The role involves managing competing priorities, building and setting up LTSS authorizations and services based on participant care plans, researching authorization discrepancies, communicating decisions, and reviewing denied claims.

Requirements

• High school graduation and at least 3 years of experience in a professional office setting within a healthcare environment, or a four-year college degree from an accredited institution.
• Strong organizational and communication skills.
• Ability to work independently and as part of a team.
• Knowledge of relevant regulations and guidelines.
• Proficiency in Microsoft Office and other relevant software.

Nice To Haves

• Ability to reliably commute to or relocate to Harrisburg, PA 17110 before starting work (preferred).

Responsibilities

• Manage and balance priorities, including a personal task queue, reports, and projects.
• Build LTSS authorizations based on participant care plans and follow scope-of-approval guidelines.
• Set up LTSS services based on participant care plans through provider outreach and collaboration with service coordinators.
• Conduct in-depth research to correct authorization discrepancies.
• Communicate authorization decisions effectively to providers and service coordinators.
• Conduct comprehensive authorization reviews for denied claims and report findings and necessary action plans.

Benefits

• Health insurance
• Dental insurance
• Vision insurance
• Paid time off

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED